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MINI I PERMIT APPLICATION <br /> 112 <br /> BUILDING / MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION <br /> EVERETT CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810 I FAX 425-257-8857 i(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black.Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:1205 Crafsman Way- Central Marina PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision _Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION' <br /> OWNER NAME: TENANT BUSINESS NAME(Commercial): Port of Everett <br /> OWNER MAILING ADDRESS: STREET 1205 Craftsman Way Suite 200 <br /> c,w Everett STATE WA ZIP 98201 <br /> OWNER PHONE: 425 388 0715 OWNER EMAIL:johnk@portofeverett.com <br /> CONTRACTOR NAME: T O <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: El OWNER 0 CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425 388 0715 <br /> John Klekotka CONTACT EMAIL:johnk@portofeverett.com <br /> BUILDING INFORMATION ' <br /> Existing Use of Building:Covered Dock System Contract Price of Work:$Estimated at 65,000 ( Ire SlS--C4l <br /> Proposed Use of Building: Dock System Heat Source: OGas ❑Electric ❑Other Or)` <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure <br /> Type of Project: ❑✓New EAddition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑✓Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Demolition and replacement of the exisitng Central Marina G-Dock. . Fire standpipe system included <br /> (509 LF, 4 standpipes to be installed). 6" HDPE pipe,to be run along dock, see attached specification section for requirements. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture Fixture Fixture Fixture <br /> Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures <br /> A/C—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo <br /> Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) <br /> Clothes Dryer _ Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) <br /> Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop <br /> Exhaust Fans(Residential) Commercial Ventilation Floor Drain Toilet <br /> Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair <br /> Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) <br /> Forced Air Systems Other: Medical Gas Water Valves or Fixtures <br /> Gas Fireplace/Insert/Log Roof Drains Water Heater <br /> SPRINKLER I SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: <br /> Water Suppression System I 4 No.of Heads <br /> Chemical Suppression System No.of Heads <br /> ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must comply with <br /> current federal,state,and local law. The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the <br /> Building Official before being authorized under any circumstance.I am the owner,or I am authorized by the owner of this property to perform the work for which application is made, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> oh Ve Irig1 c City of Everett Official Use Only <br /> • ' 6 �v►e Pa <br /> sliolioI PERMIT 0q <br /> er/Authorized gn• re1 Date (Revised 10/10/2018) <br />